Individual
JASON RICKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
503 CLEVELAND AVE, GLASGOW, KY 42141-1907
(270) 537-4778
Mailing address
503 CLEVELAND AVE, GLASGOW, KY 42141-1907
(270) 537-4778
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103013
KY
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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